Laborer Crushed Between Two Large Stone Slabs at a Manufacturing Facility—Massachusetts
Massachusetts Case Report: 19MA015
Release Date: December 02, 2021
On May 7, 2019, a 49-year-old laborer was killed while assisting in moving a large stone slab to be stored on an A-frame rack. He was positioned between two A-frame racks, trying to disconnect the slab lifter, when he was crushed between two large stone slabs.
Key contributing factors identified in this investigation include:
- Not using the slab rack’s safety posts;
- Victim position within the fall shadow;
- Forklift operator lacked training and state license;
- Job hazard analysis for moving stone slabs was not performed;
- Standard operating procedures for moving stone slabs were not developed; and
- Lack of a safety and health program and overall safety training.
The Massachusetts FACE Program concluded that, to help prevent similar occurrences, employers should:
- Use slab racks designed with fixed safety posts and individual compartments for each slab;
- Ensure that employees are never located in the fall shadow of a stone slab while the slab is being accessed to be moved;
- Ensure that only employees with the required OSHA training and state license are permitted to operate forklifts;
- Ensure that a job hazard analysis is performed for all routine tasks and updated when needed; and
- Develop, implement, and enforce standard operating procedures (SOP) for moving, storing, and retrieving stone slabs, which includes ensuring employees are never located in the fall zone.